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A case of Susac syndrome with secondary glaucoma Satoko Nishigori 1 , Mari Ueki 2 , Shota Kojima 2 , Tetsuya Sugiyama 2 , Tsunehiko Ikeda 2 1Dept of Opthalmol, Shiroyama Hosp 2Dept of Opthalmol, Osaka Med Coll pp.1357-1360
Published Date 2013/8/15
DOI https://doi.org/10.11477/mf.1410104868
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Abstract. Background:Susac syndrome was reported in 1979. It consists of hearing difficulty, occlusion of retinal artery, and encephalopathy due to idiopathic microvascular disorders. Purpose:To report a case of Susac syndrome with secondary glaucoma. Case:A 77-year-old female presented with elevated intraocular pressure(IOP)and progressive visual field defect in both eyes. She had been receiving topical medication for elevated IOP. She had had hearing difficulty of acute onset since 50 years of age. Findings:Corrected visual acuity was 0.8 in either eye. IOP was 28 mmHg right and 26 mmHg left. Perimetry showed typical glaucomatous defect. One year later, the right eye showed signs of anterior uveitis. Fluorescein angiography showed nonperfusion of arteries and veins in the periphery in both eyes. Magnetic resonance imaging(MRI)showed multiple foci of microinfarction in the brain. These findings led to the diagnosis of Susac syndrome. IOP was controlled after trabeculectomy in the right eye and fundus photocoagulation in the left. Conclusion:Glaucoma in this case of Susac syndrome appears to be secondary to retinal ischemia.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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